# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRADY MEMORIAL HOSPITAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649765686
- **Legal business name:** GRADY MEMORIAL HOSPITAL CORPORATION
- **Authorized official:** TAMARA ANNE NILMEIER (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (404) 616-8880

## Contact information

- **Practice address:** 3896 PRINCETON LAKES WAY, ATLANTA, GA 30331
- **Practice address phone:** (404) 616-8880
- **Mailing address:** 80 JESSE HILL JR DR SE \# 26042, ATLANTA, GA 30303-3031
- **Mailing address phone:** (404) 616-8880
- **Mailing address fax:** (404) 489-6920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 06/22/2018